Individual provider Active NPI

Lilly Agnes Bellman, M.D.

  • Pediatrics Physician
  • Oakland, CA
National Provider Identifier
1275890162
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A128471 Issued in CA
Practice address
1411 E 31St St
Oakland, CA 94602-1018
Phone
(510) 437-4887
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A128471 CA Primary

Addresses

Primary practice location

1411 E 31St St
Oakland, CA 94602-1018

Mailing address

1411 E 31St St
Oakland, CA 94602-1018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901001108 CA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 9830405182 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Emergency Medicine
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Francisco Emergency Medical AssociatesGroup PAC ID 5698662518, 74 clinicians

Practice addresses (Care Compare)

45 Castro St
San Francisco, CA 94114-1010
Phone (415) 600-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Sep 30, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 30, 2021 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Sep 30, 2021 Accepting new patients
San Francisco Emergency Medical Associates CurrentSince Sep 1, 2020 Accepting new patients
University of California San Francisco CurrentSince Sep 30, 2021 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
Emergency Medicine Specialists of Orange County CurrentSince Oct 4, 2019 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

521 Parnassus Ave
Fl 7
San Francisco, CA 94143
Phone (415) 353-1238

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

3360 Geary Blvd
Ste 201
San Francisco, CA 94118
Phone (415) 353-3100

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1101 Van Ness Ave
Fl 3
San Francisco, CA 94109
Phone (415) 600-1900

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

Interoperability endpoints

  • Direct secure messaging: lbellman309131@hisp.ehr.sutterhealth.org
  • Direct secure messaging: lbellman50033@direct-ucsfmedicalcenter.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1275890162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 E 31ST ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E 31ST ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021018",
            "telephone_number": "510-437-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLMAN",
        "first_name": "LILLY",
        "middle_name": "AGNES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A128471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.